NPIMap

Organization Active NPI

Adrian M. Laxa, DDS, PC

Doing business as A Division of Atlantic Dental Care, PLC

  • General Practice Dentistry
  • Virginia Beach, VA
National Provider Identifier
1306314885
Registry record updated Nov 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ADRIAN M. LAXA, DDS, PC
Doing business as
A Division of Atlantic Dental Care, PLC
Practice address
4540 Princess Anne Rd Ste 101
Virginia Beach, VA 23462-7962
Phone
(757) 497-0450
Fax
(757) 497-6137
NPI assigned
Nov 2, 2018
Organization subpart
Yes
Parent organization
ATLANTIC DENTAL CARE PLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adrian M. Laxa, DDSNPI 1831395623
Title
Dentist
Phone
(757) 497-0450

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

4540 Princess Anne Rd Ste 101
Virginia Beach, VA 23462-7962

Mailing address

4540 Princess Anne Rd Ste 101
Virginia Beach, VA 23462-7962
Phone (757) 497-0450

Other names 1

  • A Division of Atlantic Dental Care, PLC Doing business as

National Provider Directory

National Provider Directory
Part of
Melvin E Cruser III DDS

Locations

4540 Princess Anne Rd
Ste 101
Virginia Beach, VA 23462
Phone (757) 497-0450

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1306314885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627962",
            "telephone_number": "757-497-0450",
            "fax_number": "757-497-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 PRINCESS ANNE RD STE 101",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234627962",
            "telephone_number": "757-497-0450",
            "fax_number": "757-497-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADRIAN M. LAXA, DDS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTIC DENTAL CARE PLC",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "LAXA",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-497-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Division of Atlantic Dental Care, PLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.